CHI Memorial Hospital - Georgia
4710 Battlefield Pkwy, Ringgold, GA · CommonSpirit Health · · NPI 1356860621
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Chromosome analysis 15-20 cell count CPT 88262 | $38.19 | $129.00 | $104.49 – $299.27 | 12 |
| Chromosome karyotype study CPT 88280 | $58.32 | $197.00 | $33.47 – $60.26 | 12 |
| Chylomicron screen, bf - sendout CPT 82664 | $120.48 | $407.00 | $48.33 – $105.17 | 12 |
| Cidofovir injection HCPCS J0740 | $553.58 | $1,870.20 | $280.53 – $1,514.87 | 11 |
| Cilastatin sodium injection HCPCS J0743 | $28.36 | $95.78 | $9.24 – $77.59 | 10 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $19.92 | $67.27 | $1.45 – $51.08 | 10 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $180.92 | $611.20 | $0.04 – $0.25 | 10 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $192.06 | $648.82 | $13.52 – $367.77 | 11 |
| Clearance of airways CPT 31720 | $145.34 | $491.00 | $73.65 – $397.71 | 5 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $28.19 | $95.22 | $0.04 – $0.21 | 10 |
| Clip ligating vesolock lg HCPCS C1760 | $164.28 | $555.00 | $83.25 – $449.55 | 10 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $604.88 | $2,043.48 | $9.36 – $1,655.22 | 11 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $35.57 | $120.15 | $16.29 – $87.95 | 10 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,588.34 | $5,366.00 | $804.90 – $4,346.46 | 5 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $251.60 | $850.00 | $127.50 – $688.50 | 6 |
| Closure paravalvlr leak pq CPT 33999 | $926.48 | $3,130.00 | $469.50 – $2,535.30 | 6 |
| Clot factor xii hageman CPT 85280 | $160.14 | $541.00 | $19.35 – $46.46 | 12 |
| Clot factor xiii fibrin scrn CPT 85291 | $120.18 | $406.00 | $9.11 – $21.37 | 12 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $241.24 | $815.00 | $122.25 – $660.15 | 5 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $660.38 | $2,231.00 | $334.65 – $1,807.11 | 5 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $260.48 | $880.00 | $132.00 – $712.80 | 5 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $395.46 | $1,336.00 | $200.40 – $1,082.16 | 5 |
| #cmvcul-virus inoculation shell CPT 87254 | $23.68 | $80.00 | $6.88 – $46.96 | 12 |
| Cmv pcr-sendout CPT 87496 | $46.18 | $156.00 | $27.60 – $84.25 | 12 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $4,789.51 | $16,180.76 | $2.47 – $10,355.69 | 14 |
| Coagulation time activated teg CPT 85347 | $77.85 | $263.00 | $4.28 – $10.23 | 12 |
| Cocaine 4 % nasal solution HCPCS C9046 | $74.54 | $251.81 | $1.58 – $66.64 | 10 |
| Cold agglutinin titer CPT 86157 | $74.30 | $251.00 | $8.06 – $19.36 | 12 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | $2,272.99 | $7,679.00 | $1,151.85 – $6,219.99 | 6 |
| Colistimethate sodium inj HCPCS J0770 | $48.74 | $164.65 | $14.07 – $75.94 | 10 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $60.98 | $206.00 | $30.90 – $166.86 | 6 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $60.98 | $206.00 | $30.90 – $166.86 | 6 |
| Collection of venous blood by venipuncture CPT 36415 | $17.76 | $60.00 | $3.00 – $15.54 | 12 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $119.00 | $402.00 | $41.32 – $325.62 | 8 |
| Compatibility test each unit electronic CPT 86923 | $94.72 | $320.00 | $31.13 – $259.20 | 8 |
| Compatibility test each unit immediate spin technique CPT 86920 | $100.94 | $341.00 | $39.07 – $276.21 | 8 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $271.73 | $918.00 | $137.70 – $743.58 | 6 |
| Complement antigen each component c3 CPT 86160 | $51.51 | $174.00 | $12.00 – $28.83 | 12 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $639.36 | $2,160.00 | $324.00 – $1,749.60 | 5 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $591.41 | $1,998.00 | $299.70 – $1,618.38 | 5 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $97.68 | $330.00 | $49.50 – $267.30 | 6 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $591.41 | $1,998.00 | $299.70 – $1,618.38 | 5 |
| Concentration infection agents any type CPT 87015 | $12.73 | $43.00 | $6.68 – $16.03 | 12 |
| Condylomata destruction 56420 CPT 56420 | $190.92 | $645.00 | $96.75 – $522.45 | 6 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $435.84 | $1,472.41 | $220.87 – $1,192.66 | 11 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $782.92 | $2,645.00 | $52.39 – $2,142.45 | 8 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $66.31 | $224.00 | $19.59 – $181.44 | 8 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $137.94 | $466.00 | $56.95 – $377.46 | 8 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $38.19 | $129.00 | $49.47 – $104.49 | 8 |
| Contrast baths charges CPT 97034 | $90.28 | $305.00 | $14.56 – $270.00 | 10 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $1,764.76 | $5,962.00 | $137.15 – $4,829.22 | 9 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $2,782.40 | $9,400.00 | $149.96 – $7,614.00 | 9 |
| Control nosebleed pack+caut 30905 CPT 30905 | $128.17 | $433.00 | $64.95 – $350.73 | 5 |
| Conversion ext bil drg cath CPT 47535 | $2,664.89 | $9,003.00 | $1,350.45 – $7,292.43 | 5 |
| Convert nephrostomy catheter CPT 50434 | $752.73 | $2,543.00 | $381.45 – $2,059.83 | 5 |
| Coombs direct CPT 86880 | $7.40 | $25.00 | $5.39 – $20.25 | 9 |
| Coombs indirect titer reference CPT 86886 | $35.52 | $120.00 | $5.18 – $97.20 | 9 |
| Copper cu 64 dotatate diag HCPCS A9592 | $2,959.71 | $9,999.00 | $1,499.85 – $8,099.19 | 8 |
| Core ndl bx lng/med perq CPT 32408 | $1,665.89 | $5,628.00 | $844.20 – $4,558.68 | 5 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $7,074.40 | $23,900.00 | $3,585.00 – $19,359.00 | 6 |
| Coronary angio/lv gram/lt heart CPT 93458 | $7,074.40 | $23,900.00 | $3,585.00 – $19,359.00 | 6 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $7,074.40 | $23,900.00 | $3,585.00 – $19,359.00 | 6 |
| Coronary art/grft angio s&i CPT 93455 | $2,522.81 | $8,523.00 | $1,278.45 – $7,669.00 | 7 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $2,522.81 | $8,523.00 | $1,278.45 – $7,669.00 | 7 |
| Cortisol total am CPT 82533 | $98.28 | $332.00 | $16.30 – $39.14 | 12 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $47.53 | $160.57 | $19.76 – $106.67 | 10 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $47.36 | $160.00 | $24.00 – $129.60 | 5 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $548.79 | $1,854.00 | $278.10 – $1,501.74 | 5 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $548.79 | $1,854.00 | $278.10 – $1,501.74 | 5 |
| Covid-19 lab test non-cdc HCPCS U0002 | $67.49 | $228.00 | $51.31 – $90.31 | 11 |
| #covid19rsv-rsv CPT 87634 | $91.47 | $309.00 | $70.20 – $152.52 | 12 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $46.18 | $156.00 | $13.03 – $31.28 | 12 |
| C-peptide CPT 84681 | $42.63 | $144.00 | $20.81 – $49.97 | 12 |
| Crbrospnl fld flw imag cistern CPT 78630 | $577.80 | $1,952.00 | $292.80 – $1,581.12 | 9 |
| C-reactive protein CPT 86140 | $87.03 | $294.00 | $5.18 – $12.43 | 12 |
| C-reactive protein high sensitivity CPT 86141 | $90.28 | $305.00 | $12.95 – $31.08 | 12 |
| C-reactive protein, quantitative CPT 86406 | $14.21 | $48.00 | $10.64 – $25.54 | 12 |
| Creatine kinase CPT 82550 | $15.40 | $52.00 | $6.51 – $15.63 | 12 |
| Creatine kinase isoenzymes CPT 82552 | $23.98 | $81.00 | $13.39 – $32.17 | 12 |
| Creatine kinase mb CPT 82553 | $207.20 | $700.00 | $11.55 – $27.72 | 12 |
| Creatine - sendout CPT 82540 | $26.64 | $90.00 | $4.64 – $11.12 | 12 |
| Creatinine CPT 82565 | $9.18 | $31.00 | $5.12 – $12.30 | 12 |
| Creatinine 24 hour urine CPT 82570 | $13.03 | $44.00 | $5.18 – $12.43 | 12 |
| Creatinine clearance urine CPT 82575 | $118.11 | $399.00 | $9.46 – $22.69 | 12 |
| #creutz-prot.,western blot CPT 84182 | $314.95 | $1,064.00 | $25.33 – $49.95 | 12 |
| Critical care 30-74 minutes CPT 99291 | $757.76 | $2,560.00 | $384.00 – $2,073.60 | 9 |
| Critical care each additional 30 minutes CPT 99292 | $265.22 | $896.00 | $134.40 – $1,222.00 | 8 |
| Crotalidae poly immune fab HCPCS J0840 | $2,886.44 | $9,751.47 | $1,462.73 – $7,898.70 | 11 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $1,931.11 | $6,524.00 | $978.60 – $5,284.44 | 6 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $39.96 | $135.00 | $12.06 – $24.18 | 12 |
| Cryoprecipitate each unit HCPCS P9012 | $114.26 | $386.00 | $57.90 – $312.66 | 7 |
| Cryptococcus abs qn - sendout CPT 86641 | $66.31 | $224.00 | $14.41 – $34.60 | 12 |
| Crystal identification light microscopy CPT 89060 | $86.44 | $292.00 | $7.33 – $17.18 | 12 |
| CT 3d report other modality w/workstation CPT 76377 | $296.00 | $1,000.00 | $83.99 – $1,467.00 | 12 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,710.88 | $5,780.00 | $302.00 – $4,681.80 | 13 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,539.50 | $5,201.00 | $302.00 – $4,212.81 | 13 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $772.27 | $2,609.00 | $302.00 – $2,113.29 | 13 |
| Cta neck without &/or w/contrast CPT 70498 | $1,252.38 | $4,231.00 | $302.00 – $3,427.11 | 13 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,553.60 | $8,627.00 | $302.00 – $6,987.87 | 13 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,659.08 | $5,605.00 | $302.00 – $4,540.05 | 13 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.